Mimo Backfin Blues

NPI #1437027315 in Edgewood, Maryland

Provider Information

NPI Number: 1437027315
Entity Type: Organization
Organization Name: Mimo Backfin Blues
Subpart: Yes (part of a larger organization)
Parent Organization: RESILIENCE ACADEMY
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 23, 2025
Last Updated: Oct 23, 2025

Practice Location

Address: 500 EDGEWOOD RD STE 202
City: Edgewood
State: Maryland
ZIP Code: 21040-2734
Phone: (443) 967-4656

Authorized Official

Name: LULA MOULTRIE HEATLEY, MSW, MRC, LCSW-C
Title: THERAPIST
Phone: (240) 273-8062

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